Health Condition 1: K702- Alcoholic fibrosis and sclerosis of liver Health Condition 2: K754- Autoimmune hepatitis Health Condition 3: K721- Chronic hepatic failure Health Condition 4: K740- Hepatic fibrosis Health Condition 5: K746- Other and unspecified cirrhosis ofliver Health Condition 6: K766- Portal hypertension Health Condition 7: K717- Toxic liver disease with fibrosisand cirrhosis of liver
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age > 18 years 2. Features of cirrhosis â?? based on clinical, biochemical, radiological, and transient elastography findings and liver biopsy when appropriate. 3. Willing to give informed consent for participation in the study
Exclusion criteria
Exclusion criteria: 1. Grade II/III ascites at time of evaluation 2. Non-cirrhotic portal hypertension â?? Extrahepatic Portal vein obstruction (EHPVO), Non-cirrhotic portal fibrosis (NCPF) 3. History of Endoscopic variceal ligation 4. Currently using beta-blocker for prophylaxis 5. Portal vein thrombosis 6. Patients having liver space-occupying lesion on imaging 7. History of variceal hemorrhage in last 4 weeks 8. History of liver transplantation 9. History of a transjugular intrahepatic portosystemic shunt (TIPS) 10. History of splenectomy 11. Presence of heart failure 12. Pregnancy 13. Patients are not willing to give informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine the diagnostic accuracy of splenic stiffness measurement using a novel spleen dedicated transient elastography in predicting high risk esophageal varices in patients with liver cirrhosis.Timepoint: All the parameters will be assessed at baseline after patient enrolment | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare the diagnostic accuracy of splenic stiffness measurement with Baveno VI consensus criteria in identifying low-risk group where screening endoscopy for variceal assessment can be avoided.Timepoint: December 2023 | — |
Countries
India
Contacts
AIIMS, Bhubaneswar